Individual
JEFFREY U BANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3390 BANKS RD APT 109, MARGATE, FL 33063-6952
(903) 985-5550
Mailing address
3390 BANKS RD APT 109, MARGATE, FL 33063-6952
(903) 985-5550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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